| NPI | 1679536247 |
|---|---|
| Doing Business As | LAKEWOOD PT & OT |
| Entity Type | Organization |
| Authorized Contact | TRACY C BROOKS CEO/Owner 318-396-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2013-10-22 |